National Provider Identifier [NPI]: |
1093712804 |
Last Name Of The Provider |
KAMATH |
First Name Of The Provider |
SATISH |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
24100 OXFORD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
DEARBORN |
Zip Code Of The Provider |
481242481 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
5107 |
Number Of Medicare Beneficiaries |
432 |
Total Submitted Charge Amount |
386625.64 |
Total Medicare Allowed Amount |
300575.69 |
Total Medicare Payment Amount |
228240.31 |
Total Medicare Standardized Payment Amount |
223165.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
294 |
Number Of Medicare Beneficiaries With Drug Services |
244 |
Total Drug Submitted ChargeAmount |
10505 |
Total Drug Medicare AllowedAmount |
5808.17 |
Total Drug Medicare PaymentAmount |
5662.65 |
Total Drug Medicare Standardized Payment Amount |
5662.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
4813 |
Number Of Medicare Beneficiaries With Medical Services |
432 |
Total Medical Submitted Charge Amount |
376120.64 |
Total Medical Medicare Allowed Amount |
294767.52 |
Total Medical Medicare Payment Amount |
222577.66 |
Total Medical Medicare Standardized Payment Amount |
217502.55 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
145 |
Number Of Beneficiaries Age 75 to 84 |
160 |
Number Of Beneficiaries Age Greater 84 |
115 |
Number Of Female Beneficiaries |
249 |
Number Of Male Beneficiaries |
183 |
Number Of Non Hispanic White Beneficiaries |
396 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
421 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6593 |